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Request your custom EHR links to measure your impact.
We’ll generate a set of custom links for you to use in your EHR system—so you can measure how many patients you help get ready to vote.
First Name
*
Last Name
*
Email
*
Name of Healthcare System/Institution
*
Please use your organization's full name,
without
abbreviations
Phone Number
*
How close are you to integrating nonpartisan voter registration into your electronic health record system?
*
How close are you to integrating nonpartisan voter registration into your electronic health record system?
A
I just started and need help getting this off the ground.
B
I need help getting institutional approval/buy in.
C
I've gotten approval and we are closer to launching our integration.
Where in your electronic health record system are you integrating a nonpartisan voter registration prompt?
*
Where in your electronic health record system are you integrating a nonpartisan voter registration prompt?
Select your EHR system:
*
Submit
